Thisen tithianghlimtu (anticoagulants) chungchanga i hriat tur .

I doctor chuan thisen zam venna tur damdawi a pe che em? Mi thenkhat chuan hei hi ‘thisen tithianghlimtu’ an ti. He damdawi chungchang i hriat hian tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. Zawhna "Ka kut emaw ka ke emaw ka tan chuan thisen chhuah hi a reh dawn em?" i rilruah a lo thleng mai thei. Mahse he damdawi hi a takah chuan i nunna chhanhim thei thil a ni. Vawiin hian heng thisen tithianghlimtu damdawi, a nih loh leh `Anticoagulants` chungchang hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

A awlsam zawngin, heng anticoagulants te hi engte nge ni?

Anticoagulants hi damdawi chi khat a ni a, i thisen a tikhawlo thei lo. I taksain thisen zam awmsa chu a tithianghlim thei a, a nih loh leh thisen zam thar siam turin an veng bawk. Hengte hi pill mai a ni lo.

• Damdawi ei tur
• Injection angin (Injection) .
• Vein chhunga tui pek angin (Intravenous - IV) .

Heng damdawi te hi chi hrang hrang a awm a, chungte chu: Heng damdawi te hi natna khirh tak tak, nunna atana hlauhawm tak tak, stroke, heart attack, leh pulmonary embolisms te venna leh enkawlna atan hman a ni fo thin.

Engvangin nge hetiang damdawi chi hi kan mamawh?

I kut emaw, i ke emaw-ah hliam te tak te i nei ang tih han ngaihtuah teh. Rei vak lo hnuah thisen chhuah chu a reh ta. Engtin nge chu chu a lo thlen? Thisen a zawrh vang a ni. Hei hi kan taksaa invenna mak tak a ni. Hetiang hian hliam atanga thisen chhuak tam lutuk chu a titawp a, hliam chu a dam tan ta a ni.

Mahse, buaina chu heng thisen zamte hi a tul lova, hmun remchang lovah, chu chu thisen kalna kawng chhungah a lo awm a, chu chu a intan a ni. Chutianga thisen zam lo awm chu thisen nen a kal a, thluak, thinlung, a nih loh leh lung chhunga thisen kalna kawng te tak teah a tang a nih chuan eng nge thleng ang ? Tichuan chu thisen kalna kawngkhar atanga thisen kal chu a tawp a, chu taksa peng chu a thawk tha lo tan a, a chhe ta a ni. Hei hi thil hlauhawm ber a ni.

Hengte hi hetianga thisen zam avanga natna khirh tak tak lo awm thei thenkhat an ni.

He damdawi hi tu hnenah nge an pek tam ber?

Doctor ten heng `Anticoagulants` te hi a chunga kan sawi tak natna hlauhawm tak tak nei thei tura hlauhawmte hnenah an pe thin. Anmahni hlauhawma dahtu damdawi lam dinhmun thenkhat chu hetiang hi a ni:

• Atrial Fibrillation: Hei hi thinlung (atria) chunglam chamber pahnih chu a inzawm tha lo va, chu ai chuan a thawk mumal lo va, a khur ang maiin a thawk a ni. Chutiang a nih chuan thisen a pump tha lo va, chu chamber chhungah chuan thisen zam a lo awm theihna chance a sang zawk a ni. Heng thisen zamte hi thinlung atanga inthen a, thluak lam pan chuan stroke a thlen thei a ni.
• Heart Valve Surgery: Heart valve thlak a nih chuan, a bik takin mechanical valve hmanga thlak a nih chuan valve chung lamah thisen zam a awm theihna a awm. Hei hi ven nan he damdawi hi a pawimawh hle.
• Hip emaw Knee Replacement: Hetiang surgery lian tak tak hnuah hian ke ruh thuk takah thisen zam a awm theihna a awm. Hetiang dinhmun hi `Deep Vein Thrombosis (DVT) kan ti a ni.` Pulmonary Embolism hi kea thisen zam lo awm chu a lo chhuak a, lung chhungah a awm a ni.
• Thisen zam (blood Clotting Disorders): Mi thenkhat chuan thisen zam (genetic predisposition) an nei a. Chutiang mite pawhin he damdawi hi an mamawh a ni.

Anticoagulant chi hrang hrang leh an hnathawh dan

Anticoagulant chi hrang hrang a awm a. A chi tin hian thisen zam (blotting process) chu kawng hrang hrangin a tibuai a ni. A chi hrang hrang hi han thlir ila.

Damdawi ei tur

1. Warfarin ei tur a ni

Hei hi hun rei tak atanga lo awm tawh damdawi a ni a, taksain thisen zam tur atana pawimawh vitamin K a hman theihna tur a tikhawlo a ni.

2. Tunlai damdawi (Direct Oral Anticoagulants - DOACs) te hman a ni.

Hengte hi damdawi thar tak tak an ni. Ruihhlo `Dabigatran`, `Rivaroxaban`, `Apixaban` te hi he pawlah hian an tel ve a ni. Chungte thatna lian ber chu `Warfarin` ang thisen test fo ngai lo a ni. Thisen zam chhuahna kawnga inrawlh enzyme bik (e.g. `Thrombin` emaw `Factor Xa`) te chu an target a, an hnathawh chu an titawp ta a ni.

Injectable leh IV Damdawi te

Heparin leh a kaihhnawih damdawi te

Hengte hi damdawi inah result rang tak a ngaih hunah an hmang tlangpui. `Heparin` hian kan taksaa natural protein (`Antithrombin`) activate-in hna a thawk a, chu chuan thisen zam a veng a, thisen zam a titawp bawk. `Low-Molecular-Weight Heparin (LMWH)` hi hei hi a changkang zawk a, pek a awlsam zawk a, a chang chuan in lamah pawh hman a ni.

A side effect leh risk te chu engte nge ni?

Anticoagulant eng pawh a hlauhawm ber leh beisei chu thisen chhuah hi a ni . Hei hi a chhan chu heng damdawi te hian thisen zam a control vang a ni. Chuvangin, hliam tenau tak pawh hian a tlangpui aia tlemin thisen a chhuah tam thei a ni.

Mahse, damdawi thenkhat chuan anmahni bik atana side effect dang a nei thei a ni.

Engtikah nge doctor i hmuh ang? - Hei hi i hriat chian tur thil a ni!

He damdawi ei thin mi i nih angin fimkhur hle a ngai a ni. A chhan chu chhungril thisen chhuak pawh i hmu lo mai thei. Chuvangin a hnuaia thilte hi fimkhur hle ang che.